The questions below are based on the article
Psychopharmacologic Management of Depression in Pregnant Women and Breastfeeding Mothers.

Choose the single best answer for each question.

1. A 24-year-old woman presents to her primary care physician at 1 week postpartum with symptoms of depression. She describes feeling blue every day since she delivered. She reports that instead of feeling joy at the birth of her child as she had expected, her mood is gloomy and she is not able to enjoy being a new mother. The patient is concerned about her mood and does not know what is wrong with her. Which of the following is the most appropriate intervention?

A 30-year-old breastfeeding woman presents to her primary care physician at 5 weeks postpartum. She reports 3 weeks of daily sadness and fatigue. Her husband states that she does not seem to enjoy life anymore and is frequently tearful. Sleep and appetite have increased, and she reports feeling hopeless. Physical examination and routine laboratory tests are unremarkable.

2. Which of the following is the most important step in the evaluation of this patients symptoms?

4. Further evaluation reveals that the patient has severe major depression. She has no prior history of depression or any other psychiatric illness or treatment. What is the most appropriate intervention?

5. A 27-year-old woman who is 5 months pregnant presents to her primary care physician with moderate depressive symptoms. She reports multiple episodes of depression starting around age 15 years. She has tried 4 different antidepressants in the past but does not feel that they were very helpful. What is the most appropriate intervention?

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